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DR. BRIAN SETH BUCHBERG M.D.
NPI 1326222779
Colon & Rectal Surgery in Chesapeake, VA

Active since December 20, 2007PECOS EnrolledAccepts Medicare Assignment
113 GAINSBOROUGH SQ, SUITE 400, CHESAPEAKE, VA 23320(757) 842-4499(757) 842-4490 Get Directions Write a Review

NPPES record last updated: October 25, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Brian Seth Buchberg M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRIAN SETH BUCHBERG M.D. (NPI 1326222779) is an individual colon & rectal surgery provider in Chesapeake, Virginia, licensed in Virginia (0101254779) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Sentara Virginia Beach General Hospital, and is a graduate of Eastern Virginia Medical School (2006).

NPPES Registry Identity

NPI1326222779
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. BRIAN SETH BUCHBERGCredential: M.D.
Location Address113 GAINSBOROUGH SQ, SUITE 400Chesapeake, VA 23320-1713
Mailing Address113 Gainsborough Sq Ste 400Chesapeake, VA 23320-1714 · (757) 842-4499 · Fax (757) 842-4490
Phone(757) 842-4499
Fax(757) 842-4490
Sole ProprietorYes
Medical School CMSEastern Virginia Medical SchoolGraduated 2006
Enumeration DateDecember 20, 2007
Last NPPES UpdateOctober 25, 2018
✔ NPI 1326222779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in VA · 0101254779
Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

113 GAINSBOROUGH SQ, Chesapeake, VA 23320
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian Seth Buchberg M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688829351
PECOS Enrollment IDI20131101000582
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
47 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services25 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
19 services19 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
12 services12 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

Chesapeake General Hospital

Acute Care Hospitals · Chesapeake, VA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490120
Location736 Battlefield Blvd, NorthChesapeake, VA 23320 · Chesapeake City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23320 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
2%132 patients
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
55%44 patients3/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
59%174 patients3/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%889 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%370 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%394 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
34%673 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
24%411 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 104 patients
85%104 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
76%673 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%673 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 100 patients
0%100 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
24%673 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
3 suppliers16 claims320 services$4.69 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each A4408
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$8.83 avg. paid by Medicare
Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each A4413
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$4.97 avg. paid by Medicare
Skin barrier; solid, 6 x 6 or equivalent, each A5121
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$6.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID J WEST MD
Internal Medicine
113 GAINSBOROUGH SQ, STE 300
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-9286
ANDREW NICHOLAS TERRY JR. MD
Internal Medicine
113 GAINSBOROUGH SQ, STE 300
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-9286
CHRISTINE D HIGGINS MD
Internal Medicine
113 GAINSBOROUGH SQ, STE 300
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-9286
JULIUS S MILLER MD
Internal Medicine
113 GAINSBOROUGH SQ, STE 300
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-9286
DR. ELDRIDGE HOPKINS DERRING JR. M.D.
Internal Medicine (Pulmonary Disease)
113 GAINSBOROUGH SQ, SUITE 300
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-9451
CONVENIENT CARE OF TIDEWATER
Family Medicine
113 GAINSBOROUGH SQ, SUITE 103
CHESAPEAKE, VA 23320
Chesapeake City (757) 549-0222
PULMONARY CONSULTANTS OF TIDEWATER PC
Internal Medicine (Pulmonary Disease)
113 GAINSBOROUGH SQ, SUITE 300
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-9451
UROLOGY OF VIRGINIA PC
Durable Medical Equipment & Medical Supplies
113 GAINSBOROUGH SQ, STE 202
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-0121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Buchberg's NPI number?

The NPI number for Brian Buchberg is 1326222779. It was assigned to this individual provider in the NPPES registry on December 20, 2007.

Where is Brian Buchberg located?

Brian Buchberg practices at 113 Gainsborough Sq Suite 400, Chesapeake, VA 23320. The listed phone number is (757) 842-4499.

What is Brian Buchberg's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Brian Buchberg enrolled in Medicare?

Yes. Brian Buchberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Brian Buchberg affiliated with any hospitals?

According to CMS data, Brian Buchberg is affiliated with Sentara Virginia Beach General Hospital and Chesapeake General Hospital.

When was this NPI record last updated?

The NPPES record for Brian Buchberg was last updated on October 25, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.